[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-112-3-basic-medicine-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-112-3-基礎醫學-038","nurse-112-3-basic-medicine-038",112,3,38,"使用口服 Levothyroxine 治療甲狀腺功能低下（hypothyroidism）時，併用下列何種口服藥物最會降低 Levothyroxine 吸收？",{"A":15,"B":16,"C":17,"D":18},"Vitamin D","Aluminum hydroxide","Phenobarbital","Pravastatin","B",null,[],"本題考點在於藥物交互作用中的吸收干擾。Levothyroxine 為口服甲狀腺素製劑，其吸收易被含金屬陽離子的藥物螯合而降低，Aluminum hydroxide（氫氧化鋁制酸劑）中的鋁離子會與 Levothyroxine 形成不溶性複合物阻礙腸道吸收，故選 B。A 的維生素 D 與甲狀腺素吸收無明顯螯合作用。C 的 Phenobarbital 是肝酵素誘導劑，加速甲狀腺素代謝而非影響吸收。D 的 Pravastatin 為降血脂 statin，與甲狀腺素吸收無顯著交互作用。故選 B。","多價陽離子（鋁、鈣、鐵、鎂）與制酸劑、鈣片、鐵劑皆會螯合甲狀腺素，臨床衛教須與 Levothyroxine 間隔至少4小時服用，且甲狀腺素宜空腹服用以求穩定吸收。記憶重點：制酸劑、鈣、鐵三大類金屬離子是甲狀腺素吸收的頭號干擾者；而肝酵素誘導劑（phenobarbital、rifampin）走的是「加速代謝」而非「減少吸收」路徑。",[25,28,31,33],{"term":26,"count":27},"金屬陽離子螯合",2,{"term":29,"count":30},"Levothyroxine吸收",1,{"term":32,"count":30},"制酸劑交互作用",{"term":34,"count":30},"氫氧化鋁",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-112-3-basic-medicine-039","下列化療藥物中，何者主要使用於腦瘤治療？",39,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-113-2-basic-medicine-035","下列利尿劑中，何者排尿效果最顯著，除了可以改善水腫，亦可用於治療高血鈣症（hypercalcemia）？",35,113,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-114-1-basic-medicine-029","乳癌病患出現橘皮（peau d'orange）現象，與下列何者最有關？",29,114,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-115-2-basic-medicine-027","關於食道靜脈曲張的敘述，下列何者錯誤？",27,115,{"webId":56,"stem":57,"number":58,"year":59,"session":30},"nurse-107-1-basic-medicine-021","副交感神經分泌何種神經傳導物質，會刺激淚腺大量分泌淚液？",21,107,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-108-1-basic-medicine-055","生物製劑之蛋白質藥物 Etanercept 可治療風濕性關節炎（Rheumatoid arthritis），此藥物之藥理作用為何？",55,108,"2026-09-04",1788510744207]